Site SafetyAudit

• Audit Title and Job #

• Client / Site

• Prepared by

• Conducted on

  Date
• Location
  Address

• Foremen/Supervisor

Administrative

• Trained CPR/First Aid/AED personnel has been identified 29 CFR 1926.50(c)

  Safe

  At Risk

  N/A

• Weekly safety talks/tool box topics completed and available for review

  Safe

  At Risk

  N/A

• JHA completed and available for review

  Safe

  At Risk

  N/A

• Daily Pre-task completed and posted in common meeting location

  Safe

  At Risk

  N/A

• Safety Manual on site and accessible by employees

  Safe

  At Risk

  N/A

• SDS available upon request

  Safe

  At Risk

  N/A

PPE

• Hard Hats

  Safe

  At Risk

  N/A

• Safety Glasses

  Safe

  At Risk

  N/A

• Safety Vest

  Safe

  At Risk

  N/A

• Work Boots

  Safe

  At Risk

  N/A

• Gloves,

  Safe

  At Risk

  N/A

• Hearing Protection

  Safe

  At Risk

  N/A

• Respirators

  Safe

  At Risk

  N/A

General

• Restrooms and wash stations are available, 1 per 20 employees, and kept maintained/inspected T8 CCR 1526(a), T8 CCR 1527(a)(1)

  Safe

  At Risk

  N/A

• Separate restrooms available for men and women T8 CCR 1526(a)

  Safe

  At Risk

  N/A

• Restrooms and wash stations are available are kept clean, maintained and inspected T8 CCR 1526(d), T8 CCR 1527(a)

  Safe

  At Risk

  N/A

• Wash Station is separate (not attached) from facility T8 CCR 1527(a)(1)(F)

  Safe

  At Risk

  N/A

• Fed-Osha posters posted in common meeting area 29 CFR 1903.2

  Safe

  At Risk

  N/A

• First aid kit on site, not expired

  Safe

  At Risk

  N/A

• Necessary warning signs posted (i.e. asbestos, lead, etc.)

  Safe

  At Risk

  N/A

• Proper ergonomics/liftinng technique used

  Safe

  At Risk

  N/A

• Fire extinguishers provided and inspected

  Safe

  At Risk

  N/A

• Temporary barricades in place with ownership tags

  Safe

  At Risk

  N/A

• Ladders are inspected and in safe condition 29 CFR 1926.1053

  Safe

  At Risk

  N/A

• Ladders are used properly 29 CFR 1926.1053

  Safe

  At Risk

  N/A

House Keeping

• Exit routes are free from obstruction 29 CFR 1910.37(a)(3)

  Safe

  At Risk

  N/A

• Storage areas are kept free of debris, clutter, spills, etc 29 CFR 1910.176(c)

  Safe

  At Risk

  N/A

• Materials stacked to prevent shifting, sliding an/or collapse. 29 CFR 1910.176(b)

  Safe

  At Risk

  N/A

• Adequate lighting is provided. 29 CFR 1910.22<br>

  Safe

  At Risk

  N/A

• Paths of travel are clear of potential slip/trip/fall hazards. 29 CFR 1910.22(b)(1)

  Safe

  At Risk

  N/A

• Aisle is at least 28" wide at all exit routes. 29 CFR 1910.36(g)

  Safe

  At Risk

  N/A

• flooring of aisles and walkways are in good repair 29 CFR 1910.141(a)(3)(i)

  Safe

  At Risk

  N/A

• Rebar capped, impalement hazards abated

  Safe

  At Risk

  N/A

Electrical

• What is the power source? Is power source is in safe condition

  Safe

  At Risk

  N/A

• Are working spaces, walkways, and similar locations kept clear of cords that create hazards to employees? 29 CFR 1926.416(b)(2)

  Safe

  At Risk

  N/A

• Are flexible cords and cables protected from damage? 29 CFR 1926.405(a)(2)(ii)(I)

  Safe

  At Risk

  N/A

• Competent person ensures electrical safety is maintained 29 CFR 1926.404(b)(1)(iii)(B)

  Safe

  At Risk

  N/A

• Electrical cords have been inspected to ensure equipment is free from recognizable hazards 29 CFR 1926.403(b)(1), 29 CFR 1926.404(b)(1)(iii)(C)

  Safe

  At Risk

  N/A

• Are extension cords and temporary wiring rated for use of current tasks? 29 CFR 1926.405(a)(2)(ii)(J), 29 CFR 1926.405(g)(2)(iii)

  Safe

  At Risk

  N/A

• GFCI's in place 29 CFR 1926.404(b)(1)(i)

  Safe

  At Risk

  N/A

• Damaged equipment is identified and removed from service 29 CFR 1926.404(b)(1)(iii)(C)

  Safe

  At Risk

  N/A

Lock Out Tag Out (LOTO)

• Is LOTO being used?

  Yes

  No

  N/A

• LOTO device has a standardized criteria set forth by the company 29 CFR 1910.147(c)(5)(ii)(B)

  Safe

  At Risk

  N/A

• Devices are rated to handle term of use. 29 CFR 1910.147(c)(5)(ii)(A)

  Safe

  At Risk

  N/A

• Device secured and substantial enough to eliminate accidental removal 29 CFR 1910.147(c)(5)(ii)(C)

  Safe

  At Risk

  N/A

• LOTO devices identify employee and contact for employee applying device 29 CFR 1910.147(c)(5)(ii)(D)

  Safe

  At Risk

  N/A

• Periodic inspections of LOTO program and controlled devices are completed 29 CFR 1910.147(c)(6)

  Safe

  At Risk

  N/A

Mobile Equipment

• Is mobile equipment used (forklift, aerial lift, scissor lift, telehandler, etc.)?

  Yes

  No

  N/A

• Is operator certified? 29 CFR 1926.453(b)(2)(ii)

  Safe

  At Risk

  N/A

• Pre-inspection completed prior to use of equipment 29 CFR 1926.453(b)(2)(i)

  Safe

  At Risk

  N/A

• Equipment is in safe usable condition

  Safe

  At Risk

  N/A

• Seat belt is being used? 29 CFR 1926.602(a)(2)

  Safe

  At Risk

  N/A

• Fall restraint system is being used 29 CFR 1926.453(b)(2)(v)

  Safe

  At Risk

  N/A

• Equipment is properly leveled or on level ground 29 CFR 1926.602(a)(3)

  Safe

  At Risk

  N/A

• Equipment is kept 6 feet when parallel and 10 feet when perpendicular from a leading edge 29 CFR 1926.502(f)(1)(ii)

  Safe

  At Risk

  N/A

Confined Space - 29 CFR Subpart aa

• Is there confined space work in progress?

  Yes

  No

  N/A

• Rescue and emergency services equipment is available 29 CFR 1926.1204(d)(9)

  Safe

  At Risk

  N/A

• All permit spaces have been identified by a competent person 29 CFR 1926.1203(a)

  Safe

  At Risk

  N/A

• Prior to operations, Entry supervisor has identified on the permit and signed to authorize entry 29 CFR 1926.1205(b)

  Safe

  At Risk

  N/A

• The written permit space entry program is available to employees 29 CFR 1926.1203(d)

  Safe

  At Risk

  N/A

• The permit space is sufficiently isolated, pedestrians, vehicle and other necessary<br>barriers have been provided to protect entrants from external hazards 29 CFR 1926.1204(c)(3-6) and 29 CFR 1910.146(d)(6)

  Safe

  At Risk

  N/A

• Before entering and working in permit spaces, the environmental monitoring tests are<br>taken and continuously monitored. If not continuously monitored, the environment is periodically monitored 29 CFR 1926.1204(e)(1), (e)(1)(i), (e)(1)(ii) and 29 CFR 1910.146(d)(6)

  Safe

  At Risk

  N/A

• Is an early-warning system provided and able to alert entrants and attendants if an engulfment hazard exists? Is the system continuously monitoring the permit space? 29 CFR 1926.1204(e)(2)

  Safe

  At Risk

  N/A

• The lighting in the permit space is approved for use in hazardous atmosphere and provides enough light for employees to quickly exit the space in an emergency 29CFR 1926.1204(d)(5)

  Safe

  At Risk

  N/A

• The permit space has been tested to determine if acceptable entry conditions exist prior to entry 29 CFR 1926.1204(e)(1)

  Safe

  At Risk

  N/A

• Ventilating equipment is available to obtain acceptable entry conditions 29 CFR 1926.1204(d)(2)

  Safe

  At Risk

  N/A

• The permit space is being continuously tested or monitored as necessary to determine if acceptable entry conditions are being maintained during the course of entry operations 29 CFR 1926.1203(e)(2)(vi)

  Safe

  At Risk

  N/A

• Approved respiratory equipment is required if the atmosphere inside the permit space cannot be made acceptable 29 CFR 1926.1204(d)(4)

  Safe

  At Risk

  N/A

• If the permit space is below the ground and near areas where motor vehicles will<br>be operating, the vehicle exhaust or carbon monoxide is prevented from entering the space 29 CFR 1926.1203(e)(2)(v)

  Safe

  At Risk

  N/A

• Permit spaces are thoroughly emptied of any corrosive or hazardous substances, such as acids or caustics, before entry 29 CFR 1926.1204(c)(4), 29 CFR 1926.1206(i) and 29 CFR 1926.1206(i)

  Safe

  At Risk

  N/A

• All lines to a permit space containing inert, toxic, flammable, or corrosive materials are valved off and blanked or disconnected and separated before entry 29 CFR 1926.1204(c)(3)

  Safe

  At Risk

  N/A

• Necessary personal have protective equipment (PPE) available 29 CFR 1926.1204(d)(4)

  Safe

  At Risk

  N/A

• Equipment, such as ladders, needed for safe ingress and egress by authorized entrants been provided 29 CFR 1926.1204(d)(7)

  Safe

  At Risk

  N/A

• At the least, one attendant is stationed outside the permit space for the duration of the entry operation 29 CFR 1926.1204(f)

  Safe

  At Risk

  N/A

• The attendant is trained and equipped to handle an emergency 29 CFR 1926.1207(a), 29 CFR 1926.1204(d)(8), 29 CFR 1926.1211(a)(1), 29 CFR 1926.1204(d)(8), 29 CFR 1926.1211(a)(1) and 29 CFR 1926.1211(b)(2-3)

  Safe

  At Risk

  N/A

• Communications equipment is provided to allow the attendant to communicate with authorized entrants as necessary to monitor entrant status and to alert entrants of the need to evacuate the permit space 29 CFR 1926.1204(d)(3)

  Safe

  At Risk

  N/A

Fall Protection

• Is fall protection required?

  Yes

  No

  N/A

• Is a personal fall protection equipment used? 29 CFR 1926.502(d)

  Yes

  No

  N/A

• Harness is being used properly

  Safe

  At Risk

  N/A

• Harness has been inspected and signed off

  Safe

  At Risk

  N/A

• Is a lanyard or self retracting lanyard (yo-yo) used?

  Lanyard

  Self Retracting Lanyard

  Both

• Is system fall arrest or fall restraint?

  Fall Arrest

  Fall Restraint

• Lanyard is in safe working condition

  Safe

  At Risk

  N/A

• shock is attached

  Safe

  At Risk

  N/A

• Lanyard is used properly?

  Safe

  At Risk

  N/A

• Yo-yo is in safe working condition?

  Safe

  At Risk

  N/A

• Yo-yo locks at no more than 2 feet

  Safe

  At Risk

  N/A

• Yo-yo is used properly

  Safe

  At Risk

  N/A

• Anchorage point on structure or other approved design

  Safe

  At Risk

  N/A

• Anchorage will hold at least 5,000 lbs per person attached

  Safe

  At Risk

  N/A

• employees are allowed to work on surfaces only when the surfaces have the requisite strength and structural integrity 29 CFR 1926.501(a)(2)

  Safe

  At Risk

  N/A

• Are Rails used to abate fall hazards?

  Yes

  No

  N/A

• Top of rail is 42 inches ± 3 inches 29 CFR 1926.502(b)

  Safe

  At Risk

  N/A

• There is a midrail 29 CFR 1926.502(b)

  Safe

  At Risk

  N/A

• The rail will with stand force, without fail, of 200 lbs, with in 2 inches outward and downward

  Safe

  At Risk

  N/A

Heat Illness

• Water is available 29 CFR 1926.51(a)(1)

  Safe

  At Risk

  N/A

• Has the heat illness prevention program been reviewed? Is program on site?

  Safe

  At Risk

  N/A

• Schedule review and make sure copy of HIPP is on site, Note corrective action

  Safe

  At Risk

  N/A

• If not already, will temperature exceed 80 degrees?

  Yes

  No

  N/A

• Shade has been identified?

  Safe

  At Risk

  N/A

• 2-way communication procedure has been provided

  Safe

  At Risk

  N/A

• Water is available (on each floor) relatively close to employees at each work area

  Safe

  At Risk

  N/A

Excavation

• Is excavation being performed?

  Yes

  No

  N/A

• What is the soil class?

  Class A

  Class B

  Class C

• Are adequate precautions taken to prevent employee exposure to atmospheres containing less than 19.5 percent oxygen and other hazardous atmospheres? 29 CFR 1926.651(g)(1)(ii), 29 CFR 1926.651(g)(1)(iii), 29 CFR 1926.651(g)(1)(iv)

  Safe

  At Risk

  N/A

• Are materials and equipment used for protective systems maintained by a competent person, free from damage or defects that might impair their proper function? 29 CFR 1926.652(d)

  Safe

  At Risk

  N/A

• Are daily inspections of the excavation, the adjacent areas, and protective systems made by a competent person for evidence of possible cave-in, or other hazardous conditions, before work and as needed throughout the shift? 29 CFR 1926.651(k)(1), 29 CFR 1926.651(k)(1), 29 CFR 1926.651(k)(2)

  Safe

  At Risk

  N/A

• Adequate protection is provided to protect employees from loose rock or soil that could pose a hazard by falling or rolling from an excavation face and cave ins 29 CFR 1926.651(j)(1) 1926.652(b-c) 29 CFR 1926.652(a)(1) 29 CFR 1926.652(g)(1)(iii)

  Safe

  At Risk

  N/A

• Where employees or equipment are required or permitted to cross over excavations, walkways with standard guardrails are provided 29 CFR 1926.651(l)

  Safe

  At Risk

  N/A

• Trench excavations that are 4 feet deep or more, has a stairway, ladder, ramp or other safe means of egress located so as to require no more than 25 feet of lateral travel for employees. 29 CFR 1926.651(c)(2)

  Safe

  At Risk

  N/A

• Estimated locations of underground utilities have been determined 29 CFR 1926.651

  Safe

  At Risk

  N/A

• Ramps used for access or egress have been designed/approved by competent person 29 CFR 1926.651(c)(1)(i)

  Safe

  At Risk

  N/A

Notes

• Add media

  Media

• Add drawing

  Drawing

Acknowledgement

• Safety rating for site (100% Safe being the best and 1% Safe being the worse) This score represents the over all site. Some hazards may not be in the company's power to abate/control but will still effect the score.

• Auditor

  Sign

• Supervisor (or supervisor representative if supervisor is off site)

  Sign